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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHIL RUTLEDGE

Active Sole Proprietor

PHIL RUTLEDGE is a Infusion Therapy Nurse healthcare provider located in JEFFERSON CITY, Missouri. NPI 1104780279 is currently active in the NPPES registry. Verify at CMS.

Infusion Therapy Nurse · JEFFERSON CITY, MO

Registration Details

NPI Number
1104780279
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2025 (0.70042404769153 yrs)
Last Updated
Dec 12, 2025
License
2020027391 (MO)
Sole Proprietor
Yes

Practice Information

Address
5402 BUS 50 W UNIT 1
JEFFERSON CITY, MO, 65109
Browse MO providers · Browse ZIP 65109
Phone
5732841776
Primary Specialty
Infusion Therapy Nurse
163WI0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.